This free survey is powered by QUESTIONPRO.COM
 

The Rhode Island Office of Health and Human Services (OHHS) is organizing a day-long summit for May 6,2005, focusing on the new Medicare Part D drug benefit. The goal of the summit is to share information about the complex federal rules and requirements for Part D, to discuss any initiatives in development or actions underway in Rhode Island to prepare for implementation early next year and to develop a coordinated, statewide strategy to assist eligible consumers in making the transition to the new benefit.



To ensure that our time during the summit is used in the most effective manner possible, we are asking that you, and all invited participants, complete the on-line survey form requesting detailed information about any planned or on-going efforts related in any way to the transition to Part D. All of your individual answers will be kept confidential. We will compile the responses we receive and distribute them to participants prior to the summit. Hopefully, this information will provide us with a survey of the scope of the activities underway and, thus, a starting point for our discussion on areas where there is either a need or opportunity for interagency or public-private partnerships, collaboration and/or statewide coordination.



Is someone other than you has been designated as the point person for Medicare Part D, please forward this survey or contact us at 462-1989 or e-mail [email protected]
 
 
 
Name:
   
Title:
   
Organization:
   
Telephone Number:
   
E-mail Address:
   
 
 

Very Interested Interested Neutral Somewhat Interested Not Interested
How interested would you say your organization is in the implementation of Medicare Part D?
 
 

So far, what has been your organization's primary source of information on Medicare Part D? (check only one)
 
Not Applicable
 
Trade or Professional Association
 
Rhode Island Department of Elderly Affairs
 
U.S. Centers for Medicaid amd Medicare Services
 
Rhode Island Department of Human Services
 
U.S. Social Security Administration
 
Other
 

 
 

Of the sources of information listed above, please indicate below which one would you say has been the most helpful to your organization? (check only one)
 
Not Applicable
 
Trade or Professional Association
 
Rhode Island Department of Elderly Affairs
 
U.S. Centers for Medicaid and Medicare Services
 
Rhode Island Department of Human Services
 
U.S. Social Security Administration
 
Other
 

 
 

Very Helpful Helpful Neutral Somewhat Helpful Not Helpful
Overall, how helpful would you say the information your organization has obtained is on Medicare Part D?
 
 
 
 
   
 
   
 
   
 
   
 
 
 
Of the educational/informational forums on Part D listed above, which one would you say was most helpful to your organization?
   
 
 

Very Active Active Neutral Somewhat Active Not Active at All
How active has your organization been in planning for the transition to Medicare Part D?
 
 

At this point, how prepared is your organization for the implementation of Part D?
Not Very Prepared at All Somewhat Prepared Very Prepared Not Applicable
 
 
 
Please describe below any plans, proposals or strategies for the transition to Medicare Part D your organization has ALREADY developed.
   
 
 
 
In the space below, please describe any plans, proposals or strategies for the transition to Medicare Part D your organization is NOW in the process of developing.
   
 
 
 
In your view, what state government agency or official is responsible for overseeing the implementation of Medicare Part D?
   
 
 
 
What impact is the implementation of Part D having on members of your organization, the people your organization represents or serves?
   
Are you or your organization currently providing any form of information or assistance to your members or the people your organization represents or serves? If so, please describe below.
   
Please list below any agencies or organizations that you are currently working with on any issues or plans related to Medicare Part D.
   
 
 
 
In the space below, please describe the greatest challenge associated with the implementation of Part D from the perspecitve of your organization.
   
 
 
 
If there are any additional types of information about Part D that would be helpful to your organization, please describe them below.
   
 
 
 
List below any particular issues or topics that you think should be addressed at the summit.
   
 
Please contact [email protected] if you have any questions regarding this survey.
Survey Software Powered by QuestionPro Survey Software